Assistência prestada à adolescente no momento do parto em uma maternidade de alto risco

Objective: To examine the obstetric practices carried out in parturient adolescents seen in a high-risk maternity hospital. Methods: Observational, cross-sectional, documental, and descriptive study, performed through search in 157 medical records of parturient adolescents seen in a high-risk maternity in Maceio, AL, Brazil, in the period from January to June 2013. Socioeconomic variables and the obstetric and clinic practices were evaluated, and the results were presented in simple frequency. Results: Among the parturient adolescents, age ranged from 14 to 19 years, and 96 (61.1%) were in a stable relationship. Regarding the obstetric data, 125 (79.6%) were primigravidae, and 73 attended between 4 and 6 prenatal visits. In 107 (68.1%) medical records, the partogram was not found. Of the childbirths, in 75 (47.8%) the professionals did not perform episiotomy, in 110 (70.1%) active management of the 3rd stage of labour was practiced, and 146 (86.6%) adolescents did not have complications during childbirth. Conclusion: The study evidenced that some obstetric practices recommended by the Ministry of Health are being performed with the parturient adolescents, but are not enough for quality care.